Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $40.20 / $40.20	Facility		$37.28	$40.20	$40.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $37.28 / $46.98	Professional		$15.80	$37.28	$46.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.91 / $293.00 / $876.00	Facility		$27.91	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.98 / $146.87 / $220.30	Professional		$106.98	$146.87	$220.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.89 / $71.54 / $121.23	Facility		$47.89	$71.54	$121.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $46.81 / $150.82	Facility		$20.88	$46.81	$150.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $14.12 / $22.77	Professional		$10.90	$14.12	$22.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $48.22 / $90.44 / $90.44	Facility		$48.22	$90.44	$90.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $245.56 / $245.56 / $245.56	Professional		$245.56	$245.56	$245.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $85.00	Professional		$60.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $22.30 / $48.68	Facility		$16.23	$22.30	$48.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $14.12 / $23.83	Professional		$10.76	$14.12	$23.83
United Facility/Professional Facility Modifier Low / Median / High Price $21.44 / $21.44 / $21.44	Facility		$21.44	$21.44	$21.44
United Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $39.67 / $90.33	Professional		$30.42	$39.67	$90.33